Type A behavior a risk factor for open-angle glaucoma
In a new Journal of Glaucoma study, researchers reported that a personality study is a vital part of diagnosing and treating open-angle glaucoma.
Raffaella Morreale Bubella, MD, PhD, and colleagues evaluated 20 men and 30 women with open-angle glaucoma (OAG). Glaucoma progression was measured by conducting a complete biomicroscopic examination, tonometry and daily tonometric curve measurement, visual field examination, and morphologic monitoring of retinal nerve fiber layers with scanning laser polarimetry with variable corneal compensation (GDx-VCC).
Personality behaviors and anxiety were measured using the Hamilton Anxiety Rating Scale, several personality questionnaires, the State-Trait Anxiety Inventory test, the Brief-cope test and a life event.
Sixty-four percent of the participants demonstrated type A behaviors, according to the researchers; those participants exhibited significantly higher trait and state anxiety levels (P = .001). Additionally, the researchers found more significant visual field involvement in type A participants, which was negatively correlated with the Brief-cope test.
“It is therefore absolutely indispensable to perform the necessary follow-up to evaluate the possible evolutionary differences in the glaucomatous damage within the two groups; this is the only way of identifying the real role played by stress in the pathogenesis and evolution of OAG,” the researchers concluded.
Disclosure: The authors have no relevant financial disclosures.